Ingenius3 LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

52418 Issued in CA

Legal business name

INGENIUS3 LLC

Practice address

18119 Prairie Ave Ste 104
Torrance, CA 90504-3740

Phone

(310) 294-9017

Fax

(310) 844-7712

NPI assigned

Nov 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Kwaw Wagya

Title

Manager

Phone

(310) 294-9017

Specialties & licenses 1

Addresses

Other names 1

• I-3 medical services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1407183528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18119 PRAIRIE AVE STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043740",
            "telephone_number": "310-294-9017",
            "fax_number": "310-844-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18119 PRAIRIE AVE STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043740",
            "telephone_number": "310-294-9017",
            "fax_number": "310-844-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGENIUS3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "WAGYA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KWAW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-294-9017"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "52418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-3 medical services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Francesca Infantozzi
• Ingenius 3 LLC
• James Kent Ingram, M.D.
• Nancy Jeanne Ingram, RD, CDE
• Nicholas Ingram, DO
• Gabriela Iniguez
• Stephanie Marie Iniguez, LPT

• Durable Medical Equipment & Medical Supplies in Torrance, CA
• Providers in Torrance, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.